Volume : 6, Issue : 2, February - 2017

FOREIGN BODY IMPACTION AT LOWER END OF OESOPHAGUS.

Dr Sumit Sharma, Dr. Khalid Ashraf

Abstract :

<p>&nbsp;Infants put almost everything into their mouths, and toddlers eat just about anything. &nbsp;Of all the cases of foreign body ingestion reported each year, 80 percent occur in children [1-4].. &nbsp;The majority of foreign body ingestions occur in children between the ages of six months and three years. [1,5,6] Oesophageal foreign body impaction is an emergent condition that presents with acute dysphagia, chest pain, and foreign body sensation [8]. If left untreated, it can result in local oesophageal injury such as oesophagitis or ulceration, oesophageal obstruction / perforation or rupture (Boerhaave&rsquo;s syndrome), &nbsp;bowel obstruction from downstream migration of previously impacted items.[8,9,10,11,] Young children may be particularly vulnerable to Oesophageal foreign body impaction due to a small oesophagus diameter coupled with the tendency to put a variety of objects directly into their mouth. Fortunately, most foreign bodies that reach the gastrointestinal tract pass spontaneously. Only 10 to 20 percent will require endoscopic removal, and less than 1 percent require surgical intervention [1,5,7]. Although mortality from foreign body ingestion is extremely low, deaths have been reported. [5,8,9] The most common site of foreign body impaction is at the upper end of Oesophagus, as it is the narrowest part of the GI tract ( &gt;80% cases) and very rarely we have impaction at the lower end of oesophagus. Here we will be presenting a rare case of Coin impaction at the lower end of oesophagus with diagnosis and management.</p>